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J <br /> ' BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on your <br /> sewer connection to comply with the new ordinance.Please help us verify that our <br /> information is correct by answering the following questions about your property: <br /> Do you have a basement? Yeso ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes 1 No ❑ <br /> Do you have a backwater valve on your sewer line? Yes M No ❑ Don't Know ❑ <br /> Do you have((a grinder pump in your basement? ``Yes ❑ No Don't Know ❑ <br /> Name: RDOG r+" • 13e4 � J r <br /> Property address: 1 0,c)5 9 I S <br /> Phone 1: 25_ 70^n1��3 Phone 2: <br /> Email: IQC)tJ e bCit,e,r/ I / v (U E 7 <br /> am x <br />